Scheduling Request for the Governor Please complete all required fields. Scheduling requests must be submitted in writing at least 30 days in advance of event requested. First Name: * Last Name: * Organization: Email: * Phone Number: * Has a date been set for this event?Yes, a date has been set No, a date has not been set or the date is flexible Event Date: * Event Start Time: * ---7:00AM7:30AM8:00AM8:30AM9:00AM9:30AM10:00AM10:30AM11:00AM11:30AM12:00PM12:30PM1:00PM1:30PM2:00PM2:30PM3:00PM3:30PM4:00PM4:30PM5:00PM5:30PM6:00PM6:30PM7:00PM7:30PM8:00PM8:30PM Event End Time: * ---7:00AM7:30AM8:00AM8:30AM9:00AM9:30AM10:00AM10:30AM11:00AM11:30AM12:00PM12:30PM1:00PM1:30PM2:00PM2:30PM3:00PM3:30PM4:00PM4:30PM5:00PM5:30PM6:00PM6:30PM7:00PM7:30PM8:00PM8:30PM Event Location: * Address Line 1: * Address 2: City: * State: * ---MarylandDCVirginia Zip: * Role of the Governor: * ---SpeakAttendPhoto Op Governor Start Time:---7:00AM7:30AM8:00AM8:30AM9:00AM9:30AM10:00AM10:30AM11:00AM11:30AM12:00PM12:30PM1:00PM1:30PM2:00PM2:30PM3:00PM3:30PM4:00PM4:30PM5:00PM5:30PM6:00PM6:30PM7:00PM7:30PM8:00PM8:30PM Governor End Time: * ---7:00AM7:30AM8:00AM8:30AM9:00AM9:30AM10:00AM10:30AM11:00AM11:30AM12:00PM12:30PM1:00PM1:30PM2:00PM2:30PM3:00PM3:30PM4:00PM4:30PM5:00PM5:30PM6:00PM6:30PM7:00PM7:30PM8:00PM8:30PM Number of People Expected: Event Description: (250 characters maximum) Are you wiling to have staff attend if the Governor is not available? Yes No Staff Name: Is your event open to the media? YesNo Event Attachment: (1MB maximum) Additional Comments: (50 characters maximum)